{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T03:51:38Z","timestamp":1775274698128,"version":"3.50.1"},"reference-count":31,"publisher":"FapUNIFESP (SciELO)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"abstract":"<jats:p>RESUMO Objetivo: avaliar os resultados da colecistectomia laparosc\u00f3pica em idosos comparados com pacientes mais jovens. M\u00e9todos: revisamos os prontu\u00e1rios m\u00e9dicos informatizados de todos os pacientes submetidos \u00e0 colecistectomia laparosc\u00f3pica para colecistite cr\u00f4nica ou aguda, de 1o de janeiro de 2011 a 31 de mar\u00e7o de 2018, em um \u00fanico hospital de ensino. Os pacientes foram estratificados em dois grupos: idosos (\u226560 anos de idade) e mais jovens (&lt;60 anos de idade). Resultados: de 1645 pacientes submetidos \u00e0 colecistectomia laparosc\u00f3pica, 1161 (70,3%) eram mais jovens e 484 (29,7%) eram idosos. A taxa de homens foi maior nos idosos (n=185, 38,2%) do que no grupo mais jovem (n=355, 30,6%, p=0,003). Icter\u00edcia foi mais comum em idosos do que no grupo mais jovem (p=0,004). A taxa de opera\u00e7\u00e3o abdominal pr\u00e9via tamb\u00e9m foi maior nos idosos (&lt;0,001). A porcentagem de pacientes com escore ASA II, III e IV foi maior no grupo de idosos (p&lt;0,001 no escore II e III e 0,294 no escore IV). O tempo de opera\u00e7\u00e3o foi maior nos idosos (71,68\u00b131,27) do que no grupo mais jovem (p=0,001). Os seguintes dados perioperat\u00f3rios foram maiores nos idosos: colecistite aguda (p&lt;0,001), taxa de convers\u00e3o (p=0,028), complica\u00e7\u00f5es p\u00f3s-operat\u00f3rias (p=0,042) e mortalidade (p=0,026). Conclus\u00e3o: o tempo operat\u00f3rio \u00e9 maior e a taxa de colecistite aguda, convers\u00e3o para colecistectomia aberta e complica\u00e7\u00f5es p\u00f3s-operat\u00f3rias s\u00e3o maiores em idosos quando comparados com pacientes mais jovens submetidos \u00e0 colecistectomia laparosc\u00f3pica.<\/jats:p>","DOI":"10.1590\/0100-6991e-20182020","type":"journal-article","created":{"date-parts":[[2018,11,17]],"date-time":"2018-11-17T14:04:12Z","timestamp":1542463452000},"source":"Crossref","is-referenced-by-count":5,"title":["Resultado da colecistectomia laparosc\u00f3pica em idosos."],"prefix":"10.1590","volume":"45","author":[{"given":"J\u00falio Cezar Uili","family":"Coelho","sequence":"first","affiliation":[{"name":"Universidade Federal do Paran\u00e1, Brasil; Hospital Nossa Senhora das Gra\u00e7as, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuliano Ohde","family":"Dalledone","sequence":"additional","affiliation":[{"name":"Universidade Federal do 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